Excessive sweating guide

Excessive sweating (hyperhidrosis) treatment online in Virginia and West Virginia

This guide is for long-standing focal sweating in an otherwise-well adult - not for new, sudden, or all-over sweating, night sweats with weight loss, or heart or thyroid symptoms.

Start online

Start a $59 online review for Excessive sweating (hyperhidrosis).

Primary focal hyperhidrosis is long-standing excessive sweating of specific areas - usually the underarms, palms, or soles - that is not caused by another medical problem and typically stops during sleep. It is often a good online condition. New, sudden, one-sided, or whole-body sweating, or night sweats with weight loss or fever, can signal a secondary cause and needs an in-person workup.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

Start this visit See response windows

Quick facts

You must be physically in Virginia and West Virginia at the time of request
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response windows: 24/7, every day

Common symptoms

Excessive underarm, palm, or sole sweating
Sweat that soaks clothing or drips
Present for years, often since youth
Usually stops during sleep

May fit online care

Adults 18 and older
Long-standing sweating of specific areas
Otherwise feeling well
Sweating stops during sleep
No new heart, thyroid, or weight symptoms

Look for another care setting

New, sudden, one-sided, or whole-body sweating
Night sweats with unexplained weight loss or fever
Chest pain, palpitations, or a racing heart
Glaucoma or bladder-emptying problems (for oral options)

What to have ready

Which areas sweat excessively and for how long
Whether it stops when you sleep
Any heart, thyroid, or weight-loss symptoms
Medication allergies, current medications, and glaucoma/bladder history

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer the fit questions, and choose the response window you want. If the concern still fits this service, a physician reviews it and sends a secure update after sign-in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

What treatments are available online?

Prescription-strength topical treatments (glycopyrronium cloths or aluminum chloride) are first-line. For stubborn or more widespread sweating, an oral medicine may be considered, and in-person options include iontophoresis, botulinum toxin injections, or referral.

When does excessive sweating need in-person care?

Sweating that is new, sudden, one-sided, or all over the body - or comes with night sweats, weight loss, fever, a racing heart, tremor, or a neck lump - can signal a thyroid or other problem and needs an in-person evaluation.

Do the topicals irritate the skin?

Some irritation is common when starting, especially with aluminum chloride. Applying to completely dry skin at night and following the directions usually reduces it.